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SC Medicaid plans to stop paying for errors

Another plan has joined the "no pay for errors" parade: This time, it's South Carolina's Medicaid program, which covers about 800,000 South Carolinians. Officials with the program say that they won't Read more...

Cigna Q2 profit shoots up 37 percent

While last quarter was pretty much a gloom and doom situation for health plans, this quarter is shaping up better for the industry. Yesterday, we noted that Read more...

Express Scripts, Cigna agree to $27M "drug switching" settlement

Pharmacy benefits manager Express Scripts and health plan Cigna have settled a New York state lawsuit over alleged "drug switching" for a total of $27 million. The suit, which was filed in 2004, Read more...

Trend: Medical home funding sources grow

While the notion of a "medical home" has been bubbling up through the healthcare industry for some time, it's still something of a new idea for many consumers, who've never lived in an era when Read more...

CA insurers spent less than 85 percent of revenue on care

A new report by the California Medical Association concludes that nine of the state's major health plans spent less than 85 percent of their revenue on medical care for their beneficiaries, a level Read more...

U.S. carriers expand health insurance businesses into China

Aetna has opened an office in Shanghai, where it hopes to expand its health insurance business. Other insurers such as CIGNA, UnitedHealth Group and WellPoint also have established roots in China, Read more...

NY Medicaid will stop paying for 'never events'

New York's Medicaid program has decided to stop reimbursing for avoidable hospital complications and medical errors it considers to be "never events." Starting in October, it won't pay for care Read more...

Using claims data for doctor ratings poses big problems

In theory, physician ratings and rankings aren't as scary as they used to be a few years ago. With activists like New York Attorney General Andrew Cuomo helping to spark systematic changes in such Read more...

CIGNA launches site offering doctor, hospital rankings

CIGNA has launched a national website ranking doctors and hospitals by cost and quality measures, along with providing its beneficiaries with several additional tools to help them obtain care. Not Read more...

OH plans, providers share pricing and quality information

This week seems to be a big one for transparency. Not only did Cigna roll out its nationwide physician and hospital rankings program nationwide, central Ohio got into the action, too. Anthem Blue Read more...

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